Hemophagocytic syndrome is a severe condition of excessive immune activation that has a high mortality in the absence of treatment. The syndrome is classified as primary if associated with congenital or hereditary problems, or secondary/acquired if associated with infectious, autoimmune or oncology diseases. We report four adult cases of the syndrome, one with viral, two with autoimmune and one with idiopathic causes who were successfully treated with HLH 94-04 chemotherapy protocol. Our experience shows that a high index of suspicion, early diagnosis and an opportune therapy are essential in the treatment of this disease.
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Cincinnati Childrens Hosp Med Ctr, Div Immunobiol, Cincinnati, OH 45229 USA
Cincinnati Childrens Hosp Med Ctr, Div Bone Marrow Transplantat & Immune Deficiency, Cincinnati, OH 45229 USACincinnati Childrens Hosp Med Ctr, Div Immunobiol, Cincinnati, OH 45229 USA
Jordan, Michael B.
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Allen, Carl E.
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Baylor Coll Med, Texas Childrens Canc Ctr, Houston, TX 77030 USACincinnati Childrens Hosp Med Ctr, Div Immunobiol, Cincinnati, OH 45229 USA
Allen, Carl E.
;
Weitzman, Sheila
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Hosp Sick Children, Dept Paediat, Div Haematol Oncol, Toronto, ON M5G 1X8, CanadaCincinnati Childrens Hosp Med Ctr, Div Immunobiol, Cincinnati, OH 45229 USA
Weitzman, Sheila
;
Filipovich, Alexandra H.
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Cincinnati Childrens Hosp Med Ctr, Div Bone Marrow Transplantat & Immune Deficiency, Cincinnati, OH 45229 USACincinnati Childrens Hosp Med Ctr, Div Immunobiol, Cincinnati, OH 45229 USA
Filipovich, Alexandra H.
;
McClain, Kenneth L.
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Baylor Coll Med, Texas Childrens Canc Ctr, Houston, TX 77030 USACincinnati Childrens Hosp Med Ctr, Div Immunobiol, Cincinnati, OH 45229 USA
机构:
Karolinska Inst, Karolinska Univ Hosp Solna, Childhood Canc Res Unit, Dept Womens & Childrens Hlth, SE-17176 Stockholm, SwedenKarolinska Inst, Karolinska Univ Hosp Solna, Childhood Canc Res Unit, Dept Womens & Childrens Hlth, SE-17176 Stockholm, Sweden
Trottestam, Helena
;
Horne, AnnaCarin
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Karolinska Inst, Karolinska Univ Hosp Solna, Childhood Canc Res Unit, Dept Womens & Childrens Hlth, SE-17176 Stockholm, SwedenKarolinska Inst, Karolinska Univ Hosp Solna, Childhood Canc Res Unit, Dept Womens & Childrens Hlth, SE-17176 Stockholm, Sweden
Horne, AnnaCarin
;
Arico, Maurizio
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Azienda Osped Univ A Meyer, Dept Pediat Hematol Oncol, Florence, ItalyKarolinska Inst, Karolinska Univ Hosp Solna, Childhood Canc Res Unit, Dept Womens & Childrens Hlth, SE-17176 Stockholm, Sweden
Arico, Maurizio
;
Egeler, R. Maarten
论文数: 0引用数: 0
h-index: 0
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Leiden Univ, Dept Pediat, Med Ctr, Leiden, NetherlandsKarolinska Inst, Karolinska Univ Hosp Solna, Childhood Canc Res Unit, Dept Womens & Childrens Hlth, SE-17176 Stockholm, Sweden
Egeler, R. Maarten
;
Filipovich, Alexandra H.
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h-index: 0
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Childrens Hosp, Med Ctr, Cincinnati, OH 45229 USAKarolinska Inst, Karolinska Univ Hosp Solna, Childhood Canc Res Unit, Dept Womens & Childrens Hlth, SE-17176 Stockholm, Sweden
Filipovich, Alexandra H.
;
Gadner, Helmut
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St Anna Childrens Hosp, A-1090 Vienna, AustriaKarolinska Inst, Karolinska Univ Hosp Solna, Childhood Canc Res Unit, Dept Womens & Childrens Hlth, SE-17176 Stockholm, Sweden
Gadner, Helmut
;
Imashuku, Shinsaku
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Childrens Res Hosp, Kyoto City Inst Hlth & Environm Sci, Kyoto, JapanKarolinska Inst, Karolinska Univ Hosp Solna, Childhood Canc Res Unit, Dept Womens & Childrens Hlth, SE-17176 Stockholm, Sweden
Imashuku, Shinsaku
;
Ladisch, Stephan
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Childrens Res Inst, Washington, DC USAKarolinska Inst, Karolinska Univ Hosp Solna, Childhood Canc Res Unit, Dept Womens & Childrens Hlth, SE-17176 Stockholm, Sweden
Ladisch, Stephan
;
Webb, David
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Great Ormond St Hosp Sick Children, London, EnglandKarolinska Inst, Karolinska Univ Hosp Solna, Childhood Canc Res Unit, Dept Womens & Childrens Hlth, SE-17176 Stockholm, Sweden
Webb, David
;
Janka, Gritta
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Childrens Univ Hosp, Dept Hematol & Oncol, Hamburg, GermanyKarolinska Inst, Karolinska Univ Hosp Solna, Childhood Canc Res Unit, Dept Womens & Childrens Hlth, SE-17176 Stockholm, Sweden
Janka, Gritta
;
Henter, Jan-Inge
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Karolinska Inst, Karolinska Univ Hosp Solna, Childhood Canc Res Unit, Dept Womens & Childrens Hlth, SE-17176 Stockholm, SwedenKarolinska Inst, Karolinska Univ Hosp Solna, Childhood Canc Res Unit, Dept Womens & Childrens Hlth, SE-17176 Stockholm, Sweden
机构:
Cincinnati Childrens Hosp Med Ctr, Div Immunobiol, Cincinnati, OH 45229 USA
Cincinnati Childrens Hosp Med Ctr, Div Bone Marrow Transplantat & Immune Deficiency, Cincinnati, OH 45229 USACincinnati Childrens Hosp Med Ctr, Div Immunobiol, Cincinnati, OH 45229 USA
Jordan, Michael B.
;
Allen, Carl E.
论文数: 0引用数: 0
h-index: 0
机构:
Baylor Coll Med, Texas Childrens Canc Ctr, Houston, TX 77030 USACincinnati Childrens Hosp Med Ctr, Div Immunobiol, Cincinnati, OH 45229 USA
Allen, Carl E.
;
Weitzman, Sheila
论文数: 0引用数: 0
h-index: 0
机构:
Hosp Sick Children, Dept Paediat, Div Haematol Oncol, Toronto, ON M5G 1X8, CanadaCincinnati Childrens Hosp Med Ctr, Div Immunobiol, Cincinnati, OH 45229 USA
Weitzman, Sheila
;
Filipovich, Alexandra H.
论文数: 0引用数: 0
h-index: 0
机构:
Cincinnati Childrens Hosp Med Ctr, Div Bone Marrow Transplantat & Immune Deficiency, Cincinnati, OH 45229 USACincinnati Childrens Hosp Med Ctr, Div Immunobiol, Cincinnati, OH 45229 USA
Filipovich, Alexandra H.
;
McClain, Kenneth L.
论文数: 0引用数: 0
h-index: 0
机构:
Baylor Coll Med, Texas Childrens Canc Ctr, Houston, TX 77030 USACincinnati Childrens Hosp Med Ctr, Div Immunobiol, Cincinnati, OH 45229 USA
机构:
Karolinska Inst, Karolinska Univ Hosp Solna, Childhood Canc Res Unit, Dept Womens & Childrens Hlth, SE-17176 Stockholm, SwedenKarolinska Inst, Karolinska Univ Hosp Solna, Childhood Canc Res Unit, Dept Womens & Childrens Hlth, SE-17176 Stockholm, Sweden
Trottestam, Helena
;
Horne, AnnaCarin
论文数: 0引用数: 0
h-index: 0
机构:
Karolinska Inst, Karolinska Univ Hosp Solna, Childhood Canc Res Unit, Dept Womens & Childrens Hlth, SE-17176 Stockholm, SwedenKarolinska Inst, Karolinska Univ Hosp Solna, Childhood Canc Res Unit, Dept Womens & Childrens Hlth, SE-17176 Stockholm, Sweden
Horne, AnnaCarin
;
Arico, Maurizio
论文数: 0引用数: 0
h-index: 0
机构:
Azienda Osped Univ A Meyer, Dept Pediat Hematol Oncol, Florence, ItalyKarolinska Inst, Karolinska Univ Hosp Solna, Childhood Canc Res Unit, Dept Womens & Childrens Hlth, SE-17176 Stockholm, Sweden
Arico, Maurizio
;
Egeler, R. Maarten
论文数: 0引用数: 0
h-index: 0
机构:
Leiden Univ, Dept Pediat, Med Ctr, Leiden, NetherlandsKarolinska Inst, Karolinska Univ Hosp Solna, Childhood Canc Res Unit, Dept Womens & Childrens Hlth, SE-17176 Stockholm, Sweden
Egeler, R. Maarten
;
Filipovich, Alexandra H.
论文数: 0引用数: 0
h-index: 0
机构:
Childrens Hosp, Med Ctr, Cincinnati, OH 45229 USAKarolinska Inst, Karolinska Univ Hosp Solna, Childhood Canc Res Unit, Dept Womens & Childrens Hlth, SE-17176 Stockholm, Sweden
Filipovich, Alexandra H.
;
Gadner, Helmut
论文数: 0引用数: 0
h-index: 0
机构:
St Anna Childrens Hosp, A-1090 Vienna, AustriaKarolinska Inst, Karolinska Univ Hosp Solna, Childhood Canc Res Unit, Dept Womens & Childrens Hlth, SE-17176 Stockholm, Sweden
Gadner, Helmut
;
Imashuku, Shinsaku
论文数: 0引用数: 0
h-index: 0
机构:
Childrens Res Hosp, Kyoto City Inst Hlth & Environm Sci, Kyoto, JapanKarolinska Inst, Karolinska Univ Hosp Solna, Childhood Canc Res Unit, Dept Womens & Childrens Hlth, SE-17176 Stockholm, Sweden
Imashuku, Shinsaku
;
Ladisch, Stephan
论文数: 0引用数: 0
h-index: 0
机构:
Childrens Res Inst, Washington, DC USAKarolinska Inst, Karolinska Univ Hosp Solna, Childhood Canc Res Unit, Dept Womens & Childrens Hlth, SE-17176 Stockholm, Sweden
Ladisch, Stephan
;
Webb, David
论文数: 0引用数: 0
h-index: 0
机构:
Great Ormond St Hosp Sick Children, London, EnglandKarolinska Inst, Karolinska Univ Hosp Solna, Childhood Canc Res Unit, Dept Womens & Childrens Hlth, SE-17176 Stockholm, Sweden
Webb, David
;
Janka, Gritta
论文数: 0引用数: 0
h-index: 0
机构:
Childrens Univ Hosp, Dept Hematol & Oncol, Hamburg, GermanyKarolinska Inst, Karolinska Univ Hosp Solna, Childhood Canc Res Unit, Dept Womens & Childrens Hlth, SE-17176 Stockholm, Sweden
Janka, Gritta
;
Henter, Jan-Inge
论文数: 0引用数: 0
h-index: 0
机构:
Karolinska Inst, Karolinska Univ Hosp Solna, Childhood Canc Res Unit, Dept Womens & Childrens Hlth, SE-17176 Stockholm, SwedenKarolinska Inst, Karolinska Univ Hosp Solna, Childhood Canc Res Unit, Dept Womens & Childrens Hlth, SE-17176 Stockholm, Sweden